GALEN COLLEGE OF NURSING PHARM EXAM 1 MOST TESTED
QUESTIONS AND ANSWERS GRADED A+ WITH RATIONALES
1. Benzodiazepines are commonly prescribed for which conditions? (Select all that apply)
A. Anxiety
B. Hypertension
C. Alcohol withdrawal
D. Seizure disorders
E. Bacterial infections
✅Correct Answers: A, C, D
Rationale: Benzodiazepines depress CNS activity and are used for anxiety, seizure control, and
alcohol withdrawal. They are not antihypertensives or antibiotics.
2. A patient is being induced for procedural sedation. Which medication does the nurse
anticipate will be ordered?
A. Morphine
B. Midazolam
C. Phenytoin
D. Acetaminophen
✅Correct Answer: B. Midazolam
Rationale: Midazolam is a short-acting benzodiazepine commonly used for conscious sedation.
3. After administering lorazepam at 0800, the nurse finds the patient with shallow
respirations and decreased respiratory rate. What is the nurse’s priority action?
A. Document as expected side effects
B. Hold the dose and notify the provider
C. Reassess in 30 minutes
D. Encourage deep breathing
✅Correct Answer: B
Rationale: Respiratory depression is an adverse reaction to benzodiazepines and requires
immediate provider notification.
,ESTUDYR
4. Diazepam is primarily prescribed for which condition?
A. Depression
B. Hypertension
C. Seizure control
D. Infection
✅Correct Answer: C
Rationale: Diazepam is a benzodiazepine frequently used for acute seizure management.
5. Which are common side effects of benzodiazepines? (Select all that apply)
A. CNS depression
B. Drowsiness
C. Confusion
D. Hypertension
E. Lethargy
✅Correct Answers: A, B, C, E
Rationale: Benzodiazepines suppress CNS activity, leading to sedation, lethargy, and confusion.
6. A patient prescribed alprazolam for insomnia makes which statement that indicates the
need for further teaching?
A. “I will take this medication at bedtime.”
B. “I will avoid driving while taking this.”
C. “I can take melatonin with this medication.”
D. “I will use this medication short-term.”
✅Correct Answer: C
Rationale: Combining sedatives increases CNS depression and respiratory risk.
7. Benzodiazepines are contraindicated in which patient?
A. Patient with COPD and heart disease
B. Patient with diabetes
C. Patient receiving IV antibiotics
D. Patient with mild arthritis
, ESTUDYR
✅Correct Answer: A
Rationale: Benzodiazepines depress respiration and are dangerous in cardiopulmonary disease.
8. A patient prescribed zolpidem makes which statement that requires further teaching?
A. “This medication helps me sleep.”
B. “I can take this medication anytime during the day.”
C. “This is for short-term use.”
D. “I will take this right before bed.”
✅Correct Answer: B
Rationale: Zolpidem should only be taken at bedtime due to sedative effects.
9. A patient is allergic to benzodiazepines and is prescribed zolpidem. What is the nurse’s
priority action?
A. Administer as ordered
B. Clarify with pharmacy
C. Notify the provider
D. Monitor closely
✅Correct Answer: C
Rationale: Zolpidem has similar CNS-depressant effects and may cross-react.
10. A patient taking zolpidem reports morning drowsiness. What should the nurse note?
A. This is a normal side effect
B. Stop medication immediately
C. Use melatonin instead
D. Contact provider urgently
✅Correct Answer: A
Rationale: Hangover effect is common with zolpidem.
11. Which are adverse reactions of zolpidem? (Select all that apply)
A. Vivid dreams
B. Drug tolerance